Sammon D J
Scott Med J. 1983 Jan;28(1):48-56. doi: 10.1177/003693308302800110.
A retrospective survey of bone and joint tuberculosis in the City of Glasgow over the decade 1966-75 has been carried out. Its object is to chart the changing pattern of clinical presentation of this disease, and details of 129 patients are presented. The numbers of children and adolescents are relatively low: Asian immigrants and the elderly are now the higher risk groups. A positive culture was obtained from 60 per cent of the bone and joint lesions and in every case the organism was human Mycobacterium tuberculosis. Tuberculosis complicating a closed fracture is a very rare occurrence; this series includes one further such case. Delay in diagnosis was evident in a significant number (11%) of patients. We must bear in mind the fact that we still have with us not only the great Victorian architecture, but also the great Victorian disease.
对1966年至1975年这十年间格拉斯哥市的骨与关节结核进行了回顾性调查。其目的是描绘这种疾病临床表现的变化模式，并呈现了129例患者的详细情况。儿童和青少年患者数量相对较少；亚洲移民和老年人现在是高危群体。60%的骨与关节病变培养结果呈阳性，且每一例中的病菌均为人型结核分枝杆菌。闭合性骨折并发结核病是非常罕见的情况；本系列还包括另外一例此类病例。相当一部分（11%）患者存在诊断延迟的情况。我们必须牢记，如今我们不仅仍有伟大的维多利亚时代建筑，还有伟大的维多利亚时代的疾病。
